May 19, 2022
When to Consider a Pelvic Floor Therapy Consult
What is pelvic floor therapy? A pelvic floor therapist is either a physical or occupational therapist that has received specialized training in the pelvic floor muscles. Our littles have pelvic floor muscles just like adults. Problems can arise when children have difficulty coordinating these muscles for continence and bladder/bowel function. A pelvic floor therapist helps your child learn how to properly use these muscles.
Every pediatrician and pediatric provider (urologist, gastrointestinal specialist) has their own guidelines for referrals to therapy. However, if you are seeing the following signs, you can be an advocate for your little one and start a conversation with your provider about your concerns.
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Daytime urine leaking (could be associated with urges, laughing or movement)
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Nighttime urine leaking
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Post urination dribble
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Stool leaking
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Straining to void/constipation
Keep in mind that some of these symptoms could be indicative of a medical condition as well – which is why it is important to discuss with your pediatric provider first!
Depending on the symptom, it may not be relevant to address in therapy until a certain age due to ongoing development. And some “symptoms” may be physiologically normal at a given younger age. Typically, a pediatric pelvic floor therapist will see a child after 5 years old, but I’ve helped children as young as 3 years old.
You can find a pelvic floor specialist at https://pelvicrehab.com/. There is also a book, Pelvic PT for Me, written for children to help them understand what to expect at a PT appointment!
Want more?
For developmental questions, tips and guidance related to milestones about tummy time, rolling & sitting, crawling and walking, check out KC’s developmental Masterclasses linked here.
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KC is a pediatric doctor of physical therapy, wife and mom of three! She has spent her career working with children and young adults of all ability levels, and currently specializes in birth to three years.